Federal inspection record · CMS data as of October 1, 2026
Alcester Care And Rehab Center, Inc
101 Church Street, Alcester, SD · (605) 934-2011
- Certified beds
- 44
- Residents per day
- 41
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1992
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Alcester Care And Rehab Center, Inc carries 2 inspection points. That is fewer than 98% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspection history
2025-08-28
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-04-30
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2023-03-09
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 36 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
2 h 36 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.4 pts worse | 2.9 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 2.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 100.0% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 100.0% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.5 pts better | 0.0% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.2 pts better | 4.7% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 7.9% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts worse | 18.4% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16.4 pts worse | 41.2% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.2 pts better | 17.1% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8 pts worse | 29.5% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 2.5% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 2.8% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts worse | 30.0% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.7% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better | 92.6% | 83.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts better | 85.0% | 75.5% | 80.1% |
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Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Caring Professionals Inc | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Caring Professionals Inc | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Caring Professionals Inc | Trustee Of The SNF · Organization | 0% | 6 facilities |
| Caring Professionals Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Miller, Tiffany | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Miller, Tiffany | Corporate Director · Individual | 0% | 1 facilities |
| Miller, Tiffany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Tiffany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rohlfs, Karsten | Adp Of The SNF · Individual | 0% | 3 facilities |
| Stroschein Properties Iii LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Stroschein Properties Iii LLC | Trustee Of The SNF · Organization | 0% | 1 facilities |
| Stroschein Properties Iii LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Stroschein, Chad | 5% Or Greater Direct Ownership Interest · Individual | 0% | 9 facilities |
| Stroschein, Chad | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Stroschein, Chad | Trustee Of The SNF · Individual | 0% | 9 facilities |
| Stroschein, Chad | Adp Of The SNF · Individual | 0% | 9 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke2D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
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- Fines
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Bethesda Of Beresford
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